Provider Demographics
NPI:1205322187
Name:AMOABENG, ABENA OPOKUA (MD)
Entity type:Individual
Prefix:
First Name:ABENA
Middle Name:OPOKUA
Last Name:AMOABENG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ABENA
Other - Middle Name:OPOKUA
Other - Last Name:AMOABENG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OPOKUA AMOABENG
Mailing Address - Street 1:450 CLARKSON AVE # OB-GYN
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203-2012
Mailing Address - Country:US
Mailing Address - Phone:480-335-5757
Mailing Address - Fax:
Practice Address - Street 1:450 CLARKSON AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-2012
Practice Address - Country:US
Practice Address - Phone:480-335-5757
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-03
Last Update Date:2018-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program